In the current climate of increasing fiscal and clinical accountability, information is required about overall program effectiveness using clinical data. These requests present a challenge for programs utilizing single-subject data due to the use of highly individualized behavior plans and behavioral monitoring. Subsequently, the diversity of the…

This article examines the relationship between an adolescent with behavior disorders, his family, and the system of care, through a single case analysis. The methodology used to collect the case record and interview data and to analyze and graphically illustrate the data are presented to demonstrate use of qualitative data in program evaluation.…

Discusses the development and preliminary evaluation of an experimental statewide system of services in North Carolina for seriously behaviorally/emotionally disturbed adolescents. The program successfully provides these youngsters with appropriate treatment, education, training, and care suited to their individual needs, including community-based…

The development and implementation of an adolescent suicide prevention program at the Fairfax County Public Schools in 1982 is described. The major components of the program are described: (1) background; (2) organizing and planning; (3) resources; (4) workshops; (5) activities for students; and (6) evaluation and review. Emergency visits to…

Using data from three sites, a study examined service use and expenditures under systems-of-care. The sites provided children with a full range of mental health services. Per-child expenditures were high, but for two sites, those expenditures were within the range of expenditures in other innovative attempts at service delivery. (Contains…

A pilot system of individualized and rurally compatible community-based alternatives to residential and institutional treatment settings for seriously emotionally disturbed children was evaluated. The results indicate that this intensive, community-based, service-delivery system appears to improve children's behavioral and emotional functioning,…

Designed for parents of children with mental, emotional, or behavior disorders, this booklet provides information on accessing mental health services through health maintenance organizations. The first part of the guide provides information on how managed care can improve children's access to behavioral health services through expanded service…

This introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

A survey of 37 system-of-care sites constituting 31 programs for children with serious mental health challenges found high family participation in such activities as modification of questionnaires, collecting data, and reviewing results. Low family participation was reported in the hiring of staff and data processing. Most families were…

One-hundred and sixty parents of students (ages 9 and older) who were part of an Indiana Alternative Residential Services (ARS) program were surveyed regarding their satisfaction with services received. At least one response came from 47 family units (46 mothers, 24 fathers, and 25 students). Parents completed the Parent's Stressors Scale, the…

A study compared practice-level variables between two sites that have been implementing system-of-care (SOC) principles for at least 5 years and two traditional service systems. Overall, SOC sites scored significantly higher than non-SOC sites in the child-centered and family-focused, community-based, and cultural competence domains. (Contains…

This article examines how researchers can apply analytical and methodological tools traditionally used in health policy analysis to study the multiple levels of systems-of-care impacts for students with emotional and behavior disorders. Where possible, results from existing systems-of-care education studies illustrate how these analyses and…

Three studies are presented, which illustrate situations in which researchers and funders agreed on the primacy of either the experimental or pragmatic paradigms but acknowledged a role for the other. The studies involved evaluations of mental health care, information systems, and a curriculum for behavioral and academic dysfunction. (SLD)

This commentary summarizes findings from previous articles on system-of-care mental health programs for children and adolescents with emotional and behavioral disorders. It addresses characteristics of participating children and families, system measurement system development, costs and sustainability, and family participation in program…

This monograph is based on experiences of the national Child and Adolescent Service System Program (CASSP) and describes a plan for developing and implementing community based systems of care for children and adolescents with serious emotional disorders and their families. It draws on examples from state mental health plans to illustrate planning…